Yes, I am interested in Attending RailCamp. Please send me more information.

(Please Print Or Type).

First Name: ______________________________________
Middle Name: ______________________________________
Last Name: ______________________________________
Age: ______________________________________
Address: ______________________________________
Address (cont): ______________________________________
City: ______________________________________
State/Province: ______________________________________
Zip/Postal Code: ______________________________________
Country: ______________________________________
Phone Number: ______________________________________
e-mail Address: ______________________________________
Location Preference:

Steamtown National Historic Site (Scranton, PA)
Nevada Northern (Ely, Nevada)
Will attend either camp

I am a high school (check one):

OR


Freshman Sophomore
Junior Senior

I will enter high school as a Freshman in Fall 2007.

Mail this form to:

    RailCamp
    National Railway Historical Society
    100 N. 17th Street, Suite 1203
    Philadelphia, PA 19103
or FAX to: (215) 557-6740

www.RailCamp.com